Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding Functions
Purpose. To determine the mechanisms predisposing penile fracture as well as the rate of long-term penile deformity and erectile and voiding functions. Methods. All fractures were repaired on an emergency basis via subcoronal incision and absorbable suture with simultaneous repair of eventual urethr...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2014/768158 |
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| author | Leonardo O. Reis Marcelo Cartapatti Rafael Marmiroli Eduardo Jeronimo de Oliveira Júnior Ricardo Destro Saade Adriano Fregonesi |
| author_facet | Leonardo O. Reis Marcelo Cartapatti Rafael Marmiroli Eduardo Jeronimo de Oliveira Júnior Ricardo Destro Saade Adriano Fregonesi |
| author_sort | Leonardo O. Reis |
| collection | DOAJ |
| description | Purpose. To determine the mechanisms predisposing penile fracture as well as the rate of long-term penile deformity and erectile and voiding functions. Methods. All fractures were repaired on an emergency basis via subcoronal incision and absorbable suture with simultaneous repair of eventual urethral lesion. Patients’ status before fracture and voiding and erectile functions at long term were assessed by periodic follow-up and phone call. Detailed history included cause, symptoms, and single-question self-report of erectile and voiding functions. Results. Among the 44 suspicious cases, 42 (95.4%) were confirmed, mean age was 34.5 years (range: 18–60), mean follow-up 59.3 months (range 9–155). Half presented the classical triad of audible crack, detumescence, and pain. Heterosexual intercourse was the most common cause (28 patients, 66.7%), followed by penile manipulation (6 patients, 14.3%), and homosexual intercourse (4 patients, 9.5%). “Woman on top” was the most common heterosexual position (n=14, 50%), followed by “doggy style” (n=8, 28.6%). Four patients (9.5%) maintained the cause unclear. Six (14.3%) patients had urethral injury and two (4.8%) had erectile dysfunction, treated by penile prosthesis and PDE-5i. No patient showed urethral fistula, voiding deterioration, penile nodule/curve or pain. Conclusions. “Woman on top” was the potentially riskiest sexual position (50%). Immediate surgical treatment warrants long-term very low morbidity. |
| format | Article |
| id | doaj-art-b9981c9004c34f2aadae452761d6dda9 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-b9981c9004c34f2aadae452761d6dda92025-02-03T01:07:01ZengWileyAdvances in Urology1687-63691687-63772014-01-01201410.1155/2014/768158768158Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding FunctionsLeonardo O. Reis0Marcelo Cartapatti1Rafael Marmiroli2Eduardo Jeronimo de Oliveira Júnior3Ricardo Destro Saade4Adriano Fregonesi5School of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tessália Vieira de Camargo 126, Cidade Universitária “Zeferino Vaz,” 13083-887 Campinas, SP, BrazilSchool of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tessália Vieira de Camargo 126, Cidade Universitária “Zeferino Vaz,” 13083-887 Campinas, SP, BrazilSchool of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tessália Vieira de Camargo 126, Cidade Universitária “Zeferino Vaz,” 13083-887 Campinas, SP, BrazilSchool of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tessália Vieira de Camargo 126, Cidade Universitária “Zeferino Vaz,” 13083-887 Campinas, SP, BrazilSchool of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tessália Vieira de Camargo 126, Cidade Universitária “Zeferino Vaz,” 13083-887 Campinas, SP, BrazilSchool of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tessália Vieira de Camargo 126, Cidade Universitária “Zeferino Vaz,” 13083-887 Campinas, SP, BrazilPurpose. To determine the mechanisms predisposing penile fracture as well as the rate of long-term penile deformity and erectile and voiding functions. Methods. All fractures were repaired on an emergency basis via subcoronal incision and absorbable suture with simultaneous repair of eventual urethral lesion. Patients’ status before fracture and voiding and erectile functions at long term were assessed by periodic follow-up and phone call. Detailed history included cause, symptoms, and single-question self-report of erectile and voiding functions. Results. Among the 44 suspicious cases, 42 (95.4%) were confirmed, mean age was 34.5 years (range: 18–60), mean follow-up 59.3 months (range 9–155). Half presented the classical triad of audible crack, detumescence, and pain. Heterosexual intercourse was the most common cause (28 patients, 66.7%), followed by penile manipulation (6 patients, 14.3%), and homosexual intercourse (4 patients, 9.5%). “Woman on top” was the most common heterosexual position (n=14, 50%), followed by “doggy style” (n=8, 28.6%). Four patients (9.5%) maintained the cause unclear. Six (14.3%) patients had urethral injury and two (4.8%) had erectile dysfunction, treated by penile prosthesis and PDE-5i. No patient showed urethral fistula, voiding deterioration, penile nodule/curve or pain. Conclusions. “Woman on top” was the potentially riskiest sexual position (50%). Immediate surgical treatment warrants long-term very low morbidity.http://dx.doi.org/10.1155/2014/768158 |
| spellingShingle | Leonardo O. Reis Marcelo Cartapatti Rafael Marmiroli Eduardo Jeronimo de Oliveira Júnior Ricardo Destro Saade Adriano Fregonesi Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding Functions Advances in Urology |
| title | Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding Functions |
| title_full | Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding Functions |
| title_fullStr | Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding Functions |
| title_full_unstemmed | Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding Functions |
| title_short | Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding Functions |
| title_sort | mechanisms predisposing penile fracture and long term outcomes on erectile and voiding functions |
| url | http://dx.doi.org/10.1155/2014/768158 |
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